...Running head: AMERICA’S AFFORDABLE HEALTH CARE CHOICES OF 2009 1 America’s Affordable Health Care Choices of 2009: Advanced Care Directives Denise Renna Ball State University Abstract This paper explores Section 1233 of Health Related (H.R.) Bill 3200, America’s Affordable Health Care Choices of 2009, introduced to the House of Representatives. Under this section of the bill, the Qualified Health Benefit Package (QHBP) would be required to explain end-of-life planning to individuals who seek this information. Currently physicians are not reimbursed for providing end-of-life planning for individuals on Medicare. Some larger groups such as the American Medical Association (AMA) are in favor of passing the bill. This paper examines groups in favor of the bill as presenting opposition from other groups regarding this piece of legislation. America’s Affordable Health Care Choices of 2009: Advanced Care Directives Health Related Bill The House of Representatives introduced H.R. bill 3200: America’s Affordable Health Care Choices of 2009 on July 14, 2009, as a means “to provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes” (H.R. 3200-111th Congress, 2009). HR 3200 is an active bill that was referred to the House Committees on Energy and Commerce, Ways and Means, Education and Labor, Oversight and Government Reform, and Budget,...
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...I INTRODUCTION The Responsible Parenthood and Reproductive Health Act of 2012 (Republic Act No. 10354), informally known as the Reproductive Health Law or RH Bill, is a law in the Philippines, which guarantees universal access to methods on contraception, fertility control, sexual education, and maternal care. While there is general agreement about its provisions on maternal and child health, there is great debate on its mandate that the Philippine government and the private sector will fund and undertake widespread distribution of family planning devices such as condoms, birth control pills, and IUDs, as the government continues to disseminate information on their use through all health care centers. Passage of the legislation was controversial and highly divisive, with experts, academics, religious institutions, and major political figures declaring their support or opposition while it was pending in the legislature. Heated debates and rallies both supporting and opposing the RH Bill took place nationwide. The Supreme Court delayed implementation of the law in March 2013 in response to challenges. As of August 18 this delay was still in force "until further orders". REVIEW OF RELATED LITERATURE One of the most controversial issues confronting the Philippines today is about reproductive health. Many written materials and publications are available asserting about elements of reproductive health with different perspectives. Their ultimate goal is to improve...
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...Legislative Health Care Policy and Processes Syeeda Daniels Baker College Abstract The United States legislative health policy process is very complex, it has a chain of command it has to follow before policies are set in place, this paper will explain what the legislative health policy is in the united states, and how its process is related to the principal features of united states health policy. I will discuss the critical policy issues related to the access to care, cost of care, and quality of care. Legislative Health Care Policy and Processes The legislative process is not a simple process, it begins when a member in congress determines that a problem exist, then a proposed solution to the problem “a bill” is presented to the committee that handles the issues presented in the bill (Singh, 2015, p. 524). Once the bill is amended it is forward to the house of representatives and the senate to vote on whether or not to pass the bill (Singh, 2015, p. 524). If they don’t agree the bill is not considered. If the bill is pass by the house of representatives and the senate it goes to the President of the United States, who either signs the bill or vetoes it (Singh, 2015, p. 524). Congress then has the power to override the veto (Singh, 2015, p. 524). Health policy as defined by the CDC are laws, regulations, procedures, administrative actions, incentives, or voluntary practice of governments and other institutions that influence the health of society (CDC, 2015)...
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...life, a sonogram before an abortion is a violation of a women’s rights. Lawmakers are not responsible for making health decision for men or women. Health related decisions should be at the discretion of health care professionals. A bill requiring a woman to get an ultrasound before having an abortion is poised to pass Virginia’s legislature this week, placing it on track to be signed into law by Gov. Bob McDonnell ("Ultrasound Abortion Bill Nears Vote In Virginia", 2012). A sonogram before an abortion is a violation of women’s rights; women should have the right to say that she does not want a sonogram if a doctor does not deem one medically necessary. Women will no longer be able to exercise the right to control their bodies. The church and the state are telling women what is best for them, and religious entities' consistently trump individual women's right to live and work free from discrimination and in accordance with their own religious and moral beliefs. Health related choices should be at health care professionals. It has been common practice for doctors to preform ultra sounds on women who are having an abortion to determine the gestation age of a baby however; this has always been left up to the doctor’s discretion. Requiring an ultrasound may be an unnecessary procured that will do nothing but bring an added expense to the procedure. Because the bill did not go though requiring vagal ultra sounds before an abortion many topical ultrasounds that will be required...
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...K, WM' 4 i T-H H A August 30, 2011 011 • Vol. p o 1 AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION 3 Medicare Proposes 2012 Home Health Care Rates 5 AUDIOLOGY Audiologists and lEPs; the effects of secondhand smoke on tiearing; improved telephone speech perception; new treatment for Usher syndrome. 1 0 How to Fit RTI Into a Heavy Workload 1 4 Universal Design for Learning: Meeting the Needs of AI I Students 1 8 Capitalizing on Communication: 2011 Schools Conference 2 4 From the President: Mentorship 26 SLP Establishes School to Focus on Language Intervention 2 7 Memories of 9/11 28 The Role of Educational Audiologists 3 2 A Collaborative Approach to Emotional/Behavioral Disorders 3 8 Internet: Interactive Whiteboards 4 0 Limelight: Julie West 411 Classifieds 4 4 People on the Move 4 7 First Person on the Last Page: P. K. Harrison Laws Protect Young Athletes Growing Number of States Pass Concussion-Related Legislation by Bess Sirmon Fjordbak Mentoring Programs Open Check out information about online programs for new faculty (p. 35) and students (p. 46). return to play? There is no conports-related concussion among pre-participation baseline assessment of sensus on the best course of action school-aged athletes in the United (Duff, 2009). Physicians, coaches, ) States is an issue of increased cognitive-linguistic function. and trainers often use individualvisibility in the media, in clinical ized, graduated retum-to-play protocols...
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...Kiley Overholt HCS/455 June 24, 2013 Elaine Bobo Legislative and Implementation In health care there are five stages involved when policies are introduced into the health care system. Policies are at a constant pace of being reviewed to better the health care system, with each one having an effect on the changes in health care. Since each stage takes special consideration before policies are proposed and accepted, in this paper we will talk about two, the Legislative and Implementation stages. Legislative The Legislative phase is similar to the steps of passing a bill; with the exception that it is only for the health care aspect. It all begins with an idea in which evolves into something more, where steps are to be taken in order to get the policy into action. Congress is involved in this phase to help legislative officers in making executive decisions by offering guidance on actions. The Office of Legislative Policy and Analysis (OLPA) “helps by providing information and advice on Congressional actions that affect those involved” (Office of Legislative Policy and Analysis (ofm)-Other Related Resources”,). The functions that are involved to help support during the process is: • “To serve as the principle legislative with the congress, and other Federal agencies • Prepare if there is need to testify • Analyzes pending legislation • Monitor and keep those involved informed • Brief members of Congress and staff;...
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...Social isolation in community-dwelling seniors Abstract In early August 2007, the Medical Advisory Secretariat began work on the Aging in the Community project, an evidence-based review of the literature surrounding healthy aging in the community. The Health System Strategy Division at the Ministry of Health and Long-Term Care subsequently asked the secretariat to provide an evidentiary platform for the ministry's newly released Aging at Home Strategy.After a broad literature review and consultation with experts, the secretariat identified 4 key areas that strongly predict an elderly person's transition from independent community living to a long-term care home. Evidence-based analyses have been prepared for each of these 4 areas: falls and fall-related injuries, urinary incontinence, dementia, and social isolation. For the first area, falls and fall-related injuries, an economic model is described in a separate report.Please visit the Medical Advisory Secretariat Web site, http://www.health.gov.on.ca/english/providers/program/mas/mas_about.html, to review these titles within the Aging in the Community series.AGING IN THE COMMUNITY: Summary of Evidence-Based AnalysesPrevention of Falls and Fall-Related Injuries in Community-Dwelling Seniors: An Evidence-Based AnalysisBehavioural Interventions for Urinary Incontinence in Community-Dwelling Seniors: An Evidence-Based AnalysisCaregiver- and Patient-Directed Interventions for Dementia: An Evidence-Based AnalysisSocial Isolation...
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...U.S. Health Care Quality Analysis: Legislative History Following up to the 1999 release of the Institute of Medicine (IOM) report, To Err Is Human, in 2002 a Kaiser Family Foundation survey found that only about 5% of physicians considered medical errors as a primary healthcare concern.[1] Congress, however, did not share the physicians’ nonchalant attitude and gave the Agency for Healthcare Research and Quality (AHRQ) an estimated $50 million towards minimizing medical errors.[2] Senator James Jeffords (R-VT) of the 107th Congress introduced the Patient Safety and Quality Improvement Act (S.2590) to the Senate on June 4, 2002[3] attempting to improve the safety of patients and “…reduce the incidence of events that adversely effect patient safety.”[4] In 2003, President Bush signed into law the Medicare Prescription Drug Improvement and Modernization Act (P.L 108-173).[5] A section of this law authorized AHRQ to research effectiveness in treatments in order to set a guideline to improve the quality of care.[6] John Eisenberg helped build this program that generates summaries that can help provide health care providers with evidence-based practices that help improve quality of care delivered.[7] Realizing the importance of this research to quality of care, the president signed the Under the American Recovery and Reinvestment Act of 2009 (H.R. 1) into law on February 17, 2009, providing additional funding to continue effective research.[8] This helps to demonstrate the...
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...youth with information,” one of the goals of the Reproductive Health Bill. In line with one of the two targets of Goal 5 - Improving Maternal Health - of the eight Millennium Development Goals which is achieving universal access to reproductive health by 2015. To achieve its goals, the bill provides for mandatory reproductive health education and that it be taught in "an age-appropriate manner... by adequately trained teachers starting from Grade 5 up to Fourth Year High School." As Iloilo Representative Janette Garin, author of the Reproductive Health Care Act says, “It’s very difficult to live in a society where we will be hypocritical and pretend that nothing is happening. But as early as grade 4 and 3, children, especially those in public schools, already have girlfriends and boyfriends.” Defined by United Nations (UN) on ICPD 1994, 'Reproductive health' is “a state of complete physical, mental and social well-being and...not merely the absence of disease or infirmity, in all matters relating to the reproductive system and its functions and processes.” Considering the fact that we are a Christian nation, some people and religious groups find this topic very sensitive to be discussed among youngsters. In this regard, Filipino mothers have the “you-will-learn-when-you-are-old-enough” attitude. As with this, the researchers have come up to a study that would determine the knowledge regarding reproductive health of the high school freshmen’s considering the school that they...
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...Timeline: History of Health Reform in the U.S. VIEW: Early 1900's 1930 – 1934 1935 – 1939 1940 - 1945 1945 - 1949 1950 - 1954 1955 - 1959 1960 – 1964 1965 – 1969 1970 - 1974 1975 – 1979 1980 - 1984 1985 - 1989 1990 – 1994 1995 - 1999 2000 – 2004 2005 – 2009 2010 1912 Teddy Roosevelt and his Progressive party endorse social insurance as part of their platform, including health insurance. 1912 National Convention of Insurance Commissioners develops first model of state law for regulating health insurance. 1915 The American Association for Labor Legislation 1912 Teddy Roosevelt and his Progressive party endorse social insurance as part of their platform, including health insurance. 1912 National Convention of Insurance Commissioners develops first model of state law for regulating health insurance. 1915 The American Association for Labor Legislation Early 1900's 1921 Women reformers persuade Congress to pass the Sheppard-Towner Act, which provided matching funds to states for prenatal and child health centers. Act expires in 1929 and is not reauthorized. (AALL) publishes a draft bill for compulsory health insurance and promotes campaigns in several states. A few states show interest, but fail to enact as U.S. enters into World War I. The idea draws initial support from the AMA, but by 1920 AMA reverses their position. 1927 Committee on the Costs of Medical Care forms to study the economic organization of medical care. Group is comprised of economists...
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...issue such as falls among older adults. These policies, legislations, and regulations help to improve existing or developed new effective fall prevention programs based on researches. Therefore, the policies can play a pivotal role in preventing falls and falls-related injuries, and reducing risk for falls among older adults. Some of the legislations that were identified are as follows: Safety of Seniors (SOS) Act of 2007 The Safety of Seniors Act of...
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...my passions is end of life care. Hospice and Palliative care can be as fulfilling as saving a life or educating a patient on better health practices. Nurses have the ability to change the way we practice health care by getting involved with professional organizations and reaching out to legislators to support health care bills. Focus Choosing Dr. John Zerwas was an easy choice to make. He is a local legislative representative, Doctor, and co-author of a palliative care bill. The rationale for choosing this legislative representative was because Dr. John Zerwas has a career in medicine, which places him in an exceptional position to author and support health care bills (Zerwas, n.d.). Dr. John Zerwas was the best...
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...Regulatory Issues in Health Care Fremgen (2009) defines medical laws or actions set by the federal government and the court system that have binding legal force that address legal rights and obligations affecting patients and protecting the individual rights of patients and health care employees. 50 state have statutes for medical practice acts which apply to precisely to the way that medicine is practiced in a particular state. Laws begin as act acts which define the meaning of “practice of medicine” and set the requirements and procedures for licensure. Medical practice acts also establish what can be considered as unprofessional conduct in particular states. Examples of unprofessional conduct include practicing medicine without a license, practicing healthcare or the inability to practice health care while under addiction or mental illness, felony convictions, insufficient record keeping, employing unlicensed persons to practice medicine, and prescribing drugs in excessive amounts. We currently live in a litigious society. Medical providers must balance providing quality and keeping abreast with current health care regulations to protect themselves from health care law suits (Fremgen, 2009). Laws are enforceable rules set by a government authority. An article related to a regulatory issue in health care will be analyzed to reflect how laws affect the regulatory process in health care. The Four Categories of Law Laws fall into different categories which include constitutional...
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...Understanding Work related Injuries Vanessa Cleggs HCR/230 11/17/2013 Myrnell Martin Understanding Work related Injuries In the United States workers who become injured while at work was not able to receive any compensation for their loss of wages or help with medical bills. For a worker to receive any kind of assistance or reimbursement the worker would have to peruse legal action against their employer which could take many years they would also have to prove that the employer was negligent which could also prove too hard to do. By the year 1947 all states had to have workers compensation insurance. Workers compensation is a benefit that is designed to protect injured workers and their employers in case a worker is injured while on the job. The way that it protects the employer is because this insurance is paid into by the employer to pay coverage’s for medical bills and also loss wages this means these payments are not paid directly by the company which helps to protect the company. Protection that is provided through workers compensation for an employee is it will cover any medical cost that the employee may have due to the injury and also while the employee is off working it will provide loss wages payments to the employee. OSHA (Occupational Safety and Health Administration) has set laws and regulations in place to make sure that companies under its jurisdiction provide and safe and healthy place for customers and employees. Companies that are governed under the...
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...Reproductive Health law is Philippine law aiming to guarantee universal access to methods and information on birth control and maternal care. It is a way of helping people to be more advance, well prepared, and to widen up each and every individuals mind setting about our society now a day. There is this top agreement about its provisions on maternal and child health care, there is great debate on its proposal that we taxpayer and the private sector will fund and undertake widespread distribution of family planning devices such as birth control pills (BCPs) and IUDs, and as the government continue campaigning to broadcast a good information and effect on its use through health care centers nationwide. Everyone has been talking about this RH law, for some agreed and some don’t. In some part of each individual, RH law may help and it may bring into some point also that it may trigger to do such thing that will ruin someone’s life. But as the saying goes that every little thing that is too much is not good. So, it depends on how we’re going to take it and treat it as long as we are only motivated to do well and focus only to what could bring us a healthy and happy life. The bill mandates the government to “promote, without bias, all effective natural and modern methods of family planning that are medically safe and legal.” Although abortion is recognized as illegal and punishable by law, the bill states that “the government shall ensure that all women needing care for post-abortion...
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